Colostomy closure or guard



Feb. 20, 1951 H. F. CARROLL COLOSTOMY CLOSURE OR GUARD Filed March 3,1949 FIGZ INVENTOR HARRY FCARROLL.

Mx ATTORNEY Patented Feb. 20, 1951 UNITED :s mrsas fPAT ENT COLOSTOMYCLOSUREUR GUARD Harry F. Garroll, S.t.'"L*ou"'is, IMo.

Applicationlvlarch 3, 1949., Serial"No.'79.,495

.3 (Elaims. 1

This invention relates to a surgical appliance more particularlydescribed as a colostomy closure or guard.

It is an object of the inventionto provide a colostomy guard having acolostomy icup which is adjustably posit onable with respect to thecolostomy opening it closes or protects.

Another object of the invention -is to provide a colostomy guardwhichreduces to a minimum the surface area of the device contacting thebody of the wearer.

Still another object of the invention is to provide a colostomy guardwhich is neat in appearance, is entirely sanitary and which is "shapedso as not to present or cause ob'jectionable'bulges in the clothing ofthe wearer.

Other objects and advantages will becom apparent as the specificationproceeds and a more comprehensive understanding of the invention will beaflorded from the following detailed description when considered inconjunction with the accompanying drawing, in which Figs. 1, 2 and 3are, respectively, top, side and end views of a colostomy guardembodying the instant invention.

In brief, the invention is embodied in a colostomy plate which is heldin position by means of a web or elastic belt passed around the body ofthe wearer. Into the abdominal plate there is threaded a single piececolostomy cup which, when screwed into position in the plate, passes anopen end of the cup to encircle a colostomy opening in the abdominalwall against which the plate is held. Both the abdominal plate and thecolostomy cup are vented for a purpose well known in the art.

While no particular emphasis is placed upon the material used and noclaim is made thereto, the guard is preferably made of a suitabletransparent plastic and includes a concaved abdominal plate H. To theouter surface of the abdominal plate there are fixed two clamp bracketsl2 and I3 which provides attaching means for a web or elastic belt M bymeans of which the abdominal plate is held in its customary position onthe body of the wearer. One end of the belt I4 is permanently attachedto the clamp bracket l2 and the other end of the belt is disconnectedlyattached to the bracket It by a removable clamp It.

The abdominal plate II is provided with a centrally disposed I threadedopening I1 into which is threaded a colostomy cup fitting l8.

As shown in the various views the abdominal plate II, which is oblong,is formed with a concavity in a manner such that the two underen'dsurfaces 19 and 2"! =are adapted to be pressed tightly againstan'abdominal wall when'the guard is held in its customary position ofuse. Due to the'concavi-ty of the plate, the centrally disposedundersurfaces 22 of the plate I I are spaced from and lie outwardlyfromthe abdominal wall thus reducing the contacting surfaces of the abdom-'inal plate to a minimum area defined by the ends land 21 of the plate.

Additionally, the abdominal plate H is provided with a-series of ventholes 23 which are so positioned as to communicate with a substantiallyopen space *lying between the centrally disposed concave surface 22 ofthe abdominal plate II and the abdominal wall against which the same isheld when in use. Similarly, the colostomy cup I8 is provided with aplurality of vent holes 24 also opening into the space just defined. Inthis manner provision is made for the escapement of gases outwardlyfromthe colostomy opening through and from the guard.

As best Viewed in Fig. 2, the particular mounting of the colostomy cupI8, that is, its threaded engagement with the abdominal plate ll,providesthe means through which the open end walls 25 of the colostomycup 18 may be adjustably urged against an abdominal wall to encircle acolostomy opening therein. Although no limitation is intended, it is tobe pointed out that a cup approximately two inches in diameter givesvery satisfactory results, providing adequate protection and maximumcomfort. Further, the cup may be replaced by a threaded fitting leadingto a drain bag. With the usual patient, and under usual circumstances,this is not required, but such provision is practicable and intended forthe unusual patient, or under necessary circumstances.

Although the guard has been described primarily as a colostom guard, itis to be pointed out that the same provides other uses in its customarymanner for enclosing and protecting postoperative drains. In connectionwith any of the uses to which the device may be put, the colostomy cupI8 is adapted to receive absorbent pads either treated or untreated.

Due to the fact that the colostomy cup 58 is adjustably positioned inthe abdominal plate I I, its closing position can be set very accuratelyto exert only sufficient pressures to close the colostomy. The device isadjustable to the individual requirements of patients of differentanatomical builds.

Various changes may be made in the details of from said Wall, said platefurther having a plurality of vent holes made therein t communicate witha space between said plate and said walls,

, internal threads about a centrally disposed opens ing in the plate, acolostomy cup having threads engaging the threads in said centrallydisposed opening of said plate to cause an open end of the cup toencircle a colostomy opening in said abdominal wall and bear against thewall with adjustable pressures, said cup having a plurality fittinghaving an inner edge to engage andpress 'about'the colostomy opening,and threads on the fitting engaging in said threads of the centrallydisposed opening whereby the pressure exerted thereby may be adjusted tothe wearer.

3. A colostomy guard comprising a. concave abdominal plate presentingouter edges adapted to be pressed tightly against an abdominal wallsurrounding a colostomy opening and an inner surface bounded by saidedges spaced beyond said "abdominal wall, said plate having a centrallydisposed opening, internal threads in said opening,

. a belt for holding said plate in position as aforeof vent holes madetherein communicating with said space between said plate and said wall,and a belt attached to said plate for holding the same in positionagainst said abdominal wall.

2., A colostomy guard comprising a concave abdominal plate presentingouter edges adapted to be pressed tightly against an abdominal wallsurrounding a colostomy opening and an inner surface bounded by saidedges spaced beyond said abdominal wall, said plate having a centrallydisposed opening, internal threads in said opening, a belt for holdingsaid plate in position as aforesaid on the body of a wearer, acylindrical said on the body of the wearer, a cylindrical cup with anopen end presenting a circumferential edge to engage and press about thecolostomy opening, and threads on the periphery of the cup engaging inthe threads of the opening whereby the pressure exerted by the edge ofthe open end may be adjusted to the wearer.

HARRY F. CARROLL.

REFERENCES CITED The following references are of record in the file ofthis patent:

UNITED STATES PATENTS 7 Date Number Name 2,327,514 Fenwick Aug. 24, 19432,441,508 Porcell May 11, 1948 FOREIGN PATENTS Number Country Date127,566 Austria Apr. 11, 1932

